HCPCS J1267
Injection, doripenem, 10 mg
Retired code32 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $62.50 – $92.59 | — | — |
| Deaconess Medical Center | $57.18 – $60.55 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $74.01 | $242 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $59.15 – $63.88 | — | — |
| MultiCare Auburn Medical Center | $58.08 – $62.72 | — | — |
| MultiCare Covington Medical Center | $58.08 – $62.72 | — | — |
| MultiCare Good Samaritan Hospital | $59.42 – $64.17 | — | — |
| MultiCare Valley Hospital | $56.78 – $60.12 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $73.72 | $242 |
| St Clare Hospital | — | $69.86 | $242 |
| St Elizabeth Hospital | $41.20 – $50.17 | $85.64 | $242 |
| St Francis Community Hospital | — | $76.06 | $242 |
| St Joseph Medical Center | — | $80.27 | $242 |
| St Michael Medical Center | — | $107 | $242 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $59.44 – $64.20 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | $56.80 – $65.99 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.